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[Date]
FREEDOM OF INFORMATION ACT REQUEST
Office of the Special Inspector General for Iraq Reconstruction
400 Army/Navy Drive
Arlington, VA 22202
[Optional] FAX: 703-428-0818
Dear FOIA Officer:
This is a request under the Freedom of Information Act (5 U.S.C. §552). I
request that a copy of the following document(s) be provided to me:
[identify the documents as specifically as possible]. To determine
my status for the purpose of assessing fees, you should know that I am
[insert one of the descriptions below].
A representative of the news media affiliated with (newspaper, magazine,
television station, etc.), and this request is made as part of news gathering
and not for a commercial use.
Affiliated with an educational or noncommercial scientific institution and this
request is made for a scholarly or scientific purpose and not for a commercial
use.
Affiliated with a private business and am seeking information for use in the
company’s business.
An individual seeking information for personal use and not for a commercial use.
I am willing to pay fees for this request up to a maximum of $___. Please inform
me before processing this request if you estimate that the fees will exceed this
limit.
[Optional] I request a waiver of fees for this request because disclosure
of the requested information to me is in the public interest because it is likely
to contribute significantly to public understanding of the operations or
activities of the DoD and is not primarily in my commercial interest.
[Include details about how the requested information will be disseminated by
you to the general public.]
[Optional] I am including a telephone number and e-mail address at which
I can be contacted if necessary to discuss any aspect of my request.
Name
Address
City, State, Zip Code
Telephone number [optional]
E-mail [optional]
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